Organization Active NPI

North Suffolk Colon and Rectal Surgery, PC

  • Surgery Physician
  • Smithtown, NY
National Provider Identifier
1285844340
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NORTH SUFFOLK COLON AND RECTAL SURGERY, PC
Practice address
1077 W Jericho Tpke
Smithtown, NY 11787-3204
Phone
(631) 864-7870
Fax
(631) 864-7874
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Smithy, MD
Title
MD
Phone
(631) 864-7870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

1077 W Jericho Tpke
Smithtown, NY 11787-3204

Mailing address

PO Box 960
Port Jefferson Station, NY 11776-0813
Phone (631) 864-7870

National Provider Directory

National Provider Directory

Locations

48 Route 25A
Ste 108
Smithtown, NY 11787
Phone (631) 864-7870

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285844340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117760813",
            "telephone_number": "631-864-7870",
            "fax_number": "631-864-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 W JERICHO TPKE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873204",
            "telephone_number": "631-864-7870",
            "fax_number": "631-864-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUFFOLK COLON AND RECTAL SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITHY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-864-7870",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.